Departmental Request for an At-Risk Extension

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Proposal/Award/Project(s): *

Does this request apply to all SpeedTypes on this award? *

Yes

Specify which SpeedType(s) this request applies to: *

PI Name *

Requestor Name *

Requestor Email *

Requested Extension Date *

Month

Day

Year

Departmental Guarantee SpeedType *

Departmental Guarantee Approver *

Departmental Approver Email *

Have deliverables and/or notifications been submitted to the award's sponsor? *

Yes

Not Applicable

Please Explain *

Justification *

Comments

Please provide any other comments or information that might be needed.

Disclaimer *

I understand that if an award action from the external sponsor to extend the end date is not received, the department is responsible for charges incurred after the sponsor-approved end date.

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Departmental Request for an At-Risk Extension